儿童情感虐待、情感忽视和亲密伴侣暴力对饮食失调的影响：系统批判性综述。

Consequences of child emotional abuse, emotional neglect and exposure to intimate partner violence for eating disorders: a systematic critical review.

机构信息

Department of Psychiatry and Behavioural Neurosciences, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4K1, Canada.

Offord Centre for Child Studies, McMaster University, 1280 Main Street West, MIP Suite 201A, Hamilton, ON, L8S 4K1, Canada.

出版信息

BMC Psychol. 2017 Sep 22;5(1):33. doi: 10.1186/s40359-017-0202-3.

DOI:10.1186/s40359-017-0202-3

PMID:28938897

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5610419/

Abstract

BACKGROUND

Child maltreatment and eating disorders are significant public health problems. Yet, to date, research has focused on the role of child physical and sexual abuse in eating-related pathology. This is despite the fact that globally, exposure to emotional abuse, emotional neglect and intimate partner violence are the three of the most common forms of child maltreatment. The objective of the present study is to systematically identify and critically review the literature examining the association between child emotional abuse (EA), emotional neglect (EN), and exposure to intimate partner violence (IPV) and adult eating-disordered behavior and eating disorders.

METHODS

A systematic search was conducted of five electronic databases: Medline, Embase, PsycINFO, CINAHL, and ERIC up to October 2015 to identify original research studies that investigated the association between EA, EN and children's exposure to IPV, with adult eating disorders or eating-disordered behavior using a quantitative research design. Database searches were complemented with forward and backward citation chaining. Studies were critically appraised using the Quality in Prognosis Studies (QUIPS) tool.

RESULTS

A total of 5556 publications were screened for this review resulting in twenty-three articles included in the present synthesis. These studies focused predominantly on EA and EN, with a minority examining the role of child exposure to IPV in adult eating-related pathology. Prevalence of EA and EN ranged from 21.0% to 66.0%, respectively. No prevalence information was provided in relation to child exposure to IPV. Samples included predominantly White women. The methodological quality of the available literature is generally low. Currently, the available literature precludes the possibility of determining the extent to which EA, EN or child exposure to IPV have independent explanatory influence in adult eating-related pathology above what has been identified for physical and sexual abuse.

CONCLUSIONS

While a large proportion of adults with eating disorders or eating-disordered behavior report EA, EN, or child exposure to IPV , there is a paucity of high-quality evidence about these relationships.

摘要

背景

儿童虐待和饮食失调是严重的公共卫生问题。然而，迄今为止，研究主要集中在儿童身体和性虐待与饮食相关病理之间的关系。尽管在全球范围内，情绪虐待、情感忽视和亲密伴侣暴力是儿童虐待的三种最常见形式。本研究的目的是系统地识别和批判性地回顾文献，研究儿童情绪虐待（EA）、情感忽视（EN）和亲密伴侣暴力（IPV）暴露与成人饮食障碍行为和饮食障碍之间的关系。

方法

系统检索了五个电子数据库：Medline、Embase、PsycINFO、CINAHL 和 ERIC，截至 2015 年 10 月，以确定使用定量研究设计调查 EA、EN 和儿童 IPV 暴露与成人饮食障碍或饮食障碍行为之间关系的原始研究。数据库搜索辅以向前和向后引用链接。使用预后研究质量（QUIPS）工具对研究进行批判性评价。

结果

本次综述共筛选了 5556 篇文献，其中 23 篇文章纳入本研究。这些研究主要集中在 EA 和 EN 上，少数研究考察了儿童暴露于 IPV 在成人饮食相关病理中的作用。EA 和 EN 的患病率分别为 21.0%至 66.0%。没有提供有关儿童接触 IPV 的患病率信息。样本主要包括白人女性。现有文献的方法学质量普遍较低。目前，现有文献排除了在成人饮食相关病理中，除了身体和性虐待之外，EA、EN 或儿童暴露于 IPV 具有独立解释性影响的程度的可能性。